Leadership Quality and Risk of Long-term Sickness Absence Among 53,157 Employees of the Danish Workforce.

Sørensen, Jeppe Karl; Framke, Elisabeth; Clausen, Thomas; Garde, Anne Helene; Johnsen, Nina Føns; Kristiansen, Jesper; Madsen, Ida E H; Nordentoft, Mads et al. · J Occup Environ Med · 2020

prospective_cohort · Level II

Where this comes from

Abstract

To examine whether low leadership quality predicts long-term sickness absence (LTSA) in Denmark. Using Cox models, we estimated the association between exposure to low leadership quality and onset of register based LTSA (more than or equal to 6 weeks) during 12-months follow-up among 53,157 employees without previous LTSA. During 51,155 person-years, we identified 2270 cases of LTSA. Low leadership quality predicted LTSA with a dose-respone pattern after adjustment for confounders. The hazard ratio (HR) of LTSA in the lowest compared with the highest quartile of leadership quality was 1.61 (95% CI: 1.43 to 1.82). Further, change from high to low leadership quality over time predicted risk of LTSA (HR = 1.42, 95% CI: 1.02 to 1.97) compared with persistent high leadership quality. Exposure to low leadership quality is a risk factor of LTSA in the Danish workforce.

Medical subject headings